Individual
MR. JON DAVID LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5 STACKPOLE ROAD, MACHIAS, ME 04654
(207) 255-5928
(207) 255-5958
Mailing address
5 STACKPOLE ROAD, MACHIAS, ME 04654
(207) 255-5928
(207) 255-5958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3379
ME
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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